Abstract
To the Editor: Dermatofibrosarcoma protuberans (DFSP) is a rare, low-grade dermal mesenchymal malignancy that commonly presents as a slow-growing, asymptomatic nodule.1,2 Although its metastasis is uncommon, the tumor tends to recur locally following incomplete excision.3 The clinicopathologic features associated with poor outcomes include treatment with wide local excision (WLE), compared with that with Mohs micrographic surgery (MMS); positive histologic margins; the presence of a fibrosarcomatous change; age >50 years; a large tumor size (>5 cm); African American ethnicity; male sex; and a location on the head, neck, or extremity rather than on the trunk.
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